Active NPI
Brandon Bruce Bennett, D.P.T., L.A.T.
- Physical Therapist
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PU 60159680
- Practice address
- 6307 Rich Rd SE
Olympia, WA 98501-5317 - Phone
- (360) 587-0686
- Fax
- (360) 359-7756
- NPI assigned
- Jun 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PU 60159680 | WA | |
| Physical Therapist | 225100000X | PU 60159680 | WA | Primary |
Addresses
Primary practice location
6307 Rich Rd SE
Olympia, WA 98501-5317
Mailing address
6307 Rich Rd SE
Olympia, WA 98501-5317
Phone (360) 587-0686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PU 60159680 | Other | WA | PHYSICAL THERAPIST INTERIM PERMIT |
| A1 60054681 | Other | WA | ATHLETIC TRAINER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6307 Rich Rd SE
Olympia, WA 98501-5317
Phone (360) 587-0686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PU 60159680 | WA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Empowered, PLLC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Olympia Physical Therapy & Industrial Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
| Tumwater Chiropractic Center PS | Past | Accepting new patients | |
| Olympia Physical Therapy & Industrial Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
6307 Rich Rd SE
Olympia, WA 98501
Phone (360) 349-8606
111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085
128 D St SW
Tumwater, WA 98501
Phone (360) 349-8606
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Olympia, WA
- NPI 1912538505
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Physical Therapist
- Tumwater, WA
- NPI 1174562953
-
- Physical Therapist
- Lacey, WA
- NPI 1467632745
-
- Chiropractor
- Tumwater, WA
- NPI 1659578516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1447570809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6307 RICH RD SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985015317",
"telephone_number": "360-587-0686",
"fax_number": "360-359-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6307 RICH RD SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985015317",
"telephone_number": "360-587-0686",
"fax_number": "360-359-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "BRANDON",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.P.T., L.A.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WA",
"license": "PU 60159680",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PU 60159680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST INTERIM PERMIT",
"identifier": "PU 60159680",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER LICENSE",
"identifier": "A1 60054681",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.